| NPI | 1174613061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY0000671) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY00000671) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-02-10 |